Isibonakaliso Esivamile Esithintana Ne-Fibromyalgia
I-Fibromyalgia yisimo esibuhlungu esingapheli esibandakanya ama-aches and pain of spread musculoskeletal - ikakhulukazi emisipha , ama-tendon, nezicubu ezixhunyiwe. Ngezinye izikhathi kuthiwa yi-rheumatism noma i-rheumatic syndrome. Ngokungafani nezinye izinhlobo ze-arthritis nezimo ze-rheumatic , i-fibromyalgia ayihlotshaniswa nomonakalo ohlangene noma ukukhubazeka okuhlangene.
Ukuxilongwa kwe-fibromyalgia kungabandakanya ukuhlolwa ngokomzimba ngamaphuzu wethenda. Njengoba izivivinyo zelabhuthri evamile zingaboni i-fibromyalgia, amaphuzu amathenda ayeyingxenye yenqubo yokuxilonga. Yiziphi amaphuzu amathenda?
Ukuthola i-Fibromyalgia
Ngokusho kwe-diagnostic criteria ye-fibromyalgia (esekelwe ku-American College of Rheumatology Criteria for Rheumatology 1990), isiguli kumele sibe nalokhu:
- ubuhlungu obubanzi kuwo wonke ama-quadrants amane omzimba okungenani izinyanga ezingu-3
- okungenani amaphesenti ayisishiyagalolunye ayisishiyagalolunye ayisishiyagalolunye ayisithupha
Amaphuzu amathenda ayizindawo eziqondile emzimbeni (amaphuzu ayishumi ayisishiyagalolunye (18) amaphuzu athile asezindaweni ezingu-9) ezizwela kakhulu ekuthinteni (i-digital palpation) lapho kuhlolwa udokotela. Izindawo ezingu-9 zomhlaba ezinama-muscle ziyi:
- Umzila ophansi we-Cervical: (front neck neck) endaweni engaphandle yezindawo zokungena eziphakathi kwezinqubo ezihamba phambili ze-C5-C7.
- I-Rib yesibili: (ngaphambili kwesifuba) emibuthanweni yesibili yezindleko.
- I-Occiput: (ngemuva kwentamo) ekufakweni kwemisipha ye-suboccipital.
- I-Trapezius Muscle : (indawo ehlombe ehlombe) emkhatsini womngcele ongenhla.
- I-Supraspinatus Muscle: (indawo yamagxa ehlombe) ngaphezu komngcele ongaphakathi womgogodla we-scapular.
- I-Epicondyle ye-Lateral: (elbow area) 2 cm distal kuya epicondyle lateral.
- Inkazimulo: (ukuphela kwangemuva) engxenyeni engenhla yangaphandle yezinkinobho.
- I-Trochanter Enkulu: ( ukuqhamuka ngemuva) ngemuva kokubonakala okukhulu kwe-trochanteric.
- I-knee: (indawo emadolo) emgqeni we-fat ehambisana nomugqa ohlangene.
Nge-palpation yedijithali, isiguli siyabuzwa ukuthi i-palpation ibuhlungu. Impendulo ye- "yebo" evela esigulini yimibuzo kuphela okubhekwa njengento enhle. Ngaphandle kwe-palpation yedijithali, ukuhlolwa kwethenda yethenda kungenziwa nge-dolorimetry (isitsha esisetshenziselwa ukulinganisa ukubekezelela ubuhlungu).
Ngo-2010, Nokho, i-American College of Rheumatology ihlongoze izindlela zokuvuselela i-fibromyalgia. Izindlela zokuqala ezenzakalelayo zibonisa ukuthi ukuhlolwa kwephoyinti lethenda kuzoqedwa ngenhloso yokuhlanganiswa kwe-WPI (ububanzi bomunwe obubanzi) kanye ne-SS (ubunzima bezimpawu). Kwakukhona izinkinga ezihambelana namaphuzu amathenda okugxila ekuhloleni kwe-fibromyalgia. Eqinisweni, kudinga ikhono lokwenza ukuhlolwa kwethenda yethenda ngendlela efanele. Futhi, ukuhlolwa kwethenda yethenda kwakungasizo ekuhloleni impumelelo yokwelashwa. Abanye odokotela bagwema ukuhlolwa kwethenda futhi baqaphela kakhulu ezinye izimpawu (isib. Izinkinga zokulala, ukukhohlwa, ingqondo yengqondo, kanye nokusebenza komzimba okwenziwe ngokuphathelene nemisebenzi evamile yansukuzonke). Imiphumela yocwaningo yembula ukuthi izilinganiso ezibuyekeziwe zakwazi ukukhomba iziguli ezingama-88% ze-fibromyalgia ezahlangana ne-American College yaseRheumatology ye-Old age yokuhlola i-fibromyalgia.
- Imibuzo: Ungabe Unayo I-Fibromyalgia?
Amaphuzu Wezintandokazi Amaphuzu Wezinyathelo - Ingabe Efanayo?
Amaphuzu amathenda kanye namaphuzu okuqamba amabizo amabizo amabili asetshenziselwa ukushintshana ngokungafani - kodwa ingabe ayafana? Amaphuzu we-trigger amathrekhi angenawo amathrekhi (ama-muscle fibers) ahambisana nomdwebo wezinhlungu ezibhekiswe kuzo. Ngakolunye uhlangothi, amaphuzu amathenda ayingxenye yethando elitholakala kumisipha, uxhumano lwe-muscle-tendon, bursa, noma fat pad. Amaphuzu amathenda ajwayelekile lapho ehlanganiswa ne-fibromyalgia. Ama-trigger amaphuzu ngokuvamile aphethini elivinjiwe futhi ngokuvamile ahlotshaniswa nesifo sobuhlungu be-myofascial .
Kungenzeka kokubili ukuthi kwenzeke ndawonye.
Imithombo:
I-American College of Rheumatology Imigomo Yokuqaphela Yokuqala Yokuthola I-Fibromyalgia Nokulinganisa Ukuqina Okumangalisayo. U-Wolfe F. et al. Ukunakekelwa Kwe-Arthritis Nokucwaninga. Meyi 2010.
https://www.rheumatology.org/Portals/0/Files/2010_Preliminary_Diagnostic_Criteria.pdf
I-Fibromyalgia. Indlela Yokwenza I-Tender Point Examination. Ikhasi 740. I-Kelley's Bookbook of Rheumatology. I-Ninth Edition. Elsevier. Ifinyelele ngo-11/27/2015.
I-Fibromyalgia, uJoseph J. Biundo, MD. I-Merck Manual, ngoFebruwari 2013.
http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/bursa-muscle-and-tendon-disorders/fibromyalgia
Amaphuzu Wezintandokazi ze-Fibromyalgia.Uwasebenzise Ukuwayeka? Ukubuyekezwa okufushane kokuphikisana. UHarth noNelson. I-Journal of Rheumatology.
https://jrheum.com/subscribers/07/05/914.html
Hamba amaphuzu namaphuzu wethenda: okufanayo? Ingabe ukwelapha umjovo kusiza? UBorg-Stein J. et al. Imitholampilo ye-Rheumatic Disease yaseNyakatho Melika. Meyi 1996.
http://www.ncbi.nlm.nih.gov/pubmed/8860801